BSN HESI 315 Pharmacology Practice
Exam (New 2026/ 2027 Update)
Questions and Verified Answers |100%
Correct| Grade A- Nightingale
A client with a history of chronic obstructive pulmonary disease (COPD) receives a new
prescription for an ipratropium inhaler. Which action indicates to the nurse
that additional teaching is needed?
a. Primes the inhaler with 7 pumps.
b. Attaches spacer device to the inhaler.
c. Rinses the after each use.
d. Stores the medication at room temperature.
Primes the inhaler with 7 pumps.
A client with heart failure (HF) develops hyperaldosteronism and spironolactone is prescribed.
Which instruction should the nurse include in this client's plan of
care?
Cover your skin before going outside.
Limit intake of high-potassium foods.
Replace salt with a salt substitute.
Monitor skin for excessive bruising.
Limit intake of high-potassium foods.
A client with peptic ulcer disease receives a new prescription for cimetidine. Which statement
provided by the client requires additional instruction by the nurse?
, BSN HESI 315 Pharmacology Practice
Exam (New 2026/ 2027 Update)
Questions and Verified Answers |100%
Correct| Grade A- Nightingale
a. Notify the healthcare provider of lethargy.
b. Monitor for any signs of sexual dysfunction.
c. Decrease cigarette use to a pack per day.
d. Take the medication an hour after antacids
Decrease cigarette use to a pack per day
A client with chemotherapy induced nausea receives a prescription for metoclopramide. Which
adverse effect is most important for the nurse to report?
a. Diarrhea.
b. Involuntary movements.
c. Unusual irritability.
d. Nausea.
Involuntary movements.
The nurse admits a client with a diagnosis of stage 4 cancer. The client has a prescription to wear
a subcutaneous morphine sulfate patch for pain. The client is short of breath and difficult to
arouse. While performing a head to toe assessment. the nurse discovers four patches on the
client's body. Which action should the nurse take first?
a. Monitor blood pressure.
b. Administer a narcotic reversal drug.
c. Remove the morphine patches.
d. Apply oxygen face mask.
Remove the morphine patches.
, BSN HESI 315 Pharmacology Practice
Exam (New 2026/ 2027 Update)
Questions and Verified Answers |100%
Correct| Grade A- Nightingale
The nurse is providing instructions about a client's new medications. How should the nurse
explain the purpose of probenecid, a uricosuric drug?
a. Decreases pain and burning during urination.
b. Prevents the formation of kidney stones.
c. Increases the strength of the urine stream.
d. Promotes excretion of uric acid in the urine.
Promotes excretion of uric acid in the urine.
A client taking atorvastatin develops an increased serum creatine phosphokinase (CK) level. The
nurse should assess the client for the onset of which problem?
a. Excessive bruising.
b. Muscle tenderness.
c. Peripheral edema.
d. Nausea and vomiting.
Muscle tenderness.
A client receives a new prescription for levothyroxine. Which statement made by client indicates
to the nurse the education was effective?
a. Take medication on an empty stomach.
b. Avoid the use of iron supplements
, BSN HESI 315 Pharmacology Practice
Exam (New 2026/ 2027 Update)
Questions and Verified Answers |100%
Correct| Grade A- Nightingale
c. Administer levothyroxine at bedtime
Consume foods that are high in iodine.
Take medication on an empty stomach.
A client with Parkinson's disease who is taking carbidopa/levodopa reports the urine appears to
be darker in color. Which action should the nurse take?
a. Explain the color change is normal.
b. Measure the client's urinary output.
c. Obtain a specimen for a urine culture.
d. Encourage an increase in oral intake.
Explain the color change is normal.
A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every 12 hours to be
infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5% in water (D;W)
200 mL. The nurse should program the infusion pump to deliver how many mL/hr? (Enter
numerical value only.)
200mL/hr
A female client who is a vegetarian has a new prescription for warfarin. The client states she eats
leafy green vegetables every day. How should the nurse respond?
a. Suggest that the client replace the leafy vegetables with a protein source such as nuts or beans.
Exam (New 2026/ 2027 Update)
Questions and Verified Answers |100%
Correct| Grade A- Nightingale
A client with a history of chronic obstructive pulmonary disease (COPD) receives a new
prescription for an ipratropium inhaler. Which action indicates to the nurse
that additional teaching is needed?
a. Primes the inhaler with 7 pumps.
b. Attaches spacer device to the inhaler.
c. Rinses the after each use.
d. Stores the medication at room temperature.
Primes the inhaler with 7 pumps.
A client with heart failure (HF) develops hyperaldosteronism and spironolactone is prescribed.
Which instruction should the nurse include in this client's plan of
care?
Cover your skin before going outside.
Limit intake of high-potassium foods.
Replace salt with a salt substitute.
Monitor skin for excessive bruising.
Limit intake of high-potassium foods.
A client with peptic ulcer disease receives a new prescription for cimetidine. Which statement
provided by the client requires additional instruction by the nurse?
, BSN HESI 315 Pharmacology Practice
Exam (New 2026/ 2027 Update)
Questions and Verified Answers |100%
Correct| Grade A- Nightingale
a. Notify the healthcare provider of lethargy.
b. Monitor for any signs of sexual dysfunction.
c. Decrease cigarette use to a pack per day.
d. Take the medication an hour after antacids
Decrease cigarette use to a pack per day
A client with chemotherapy induced nausea receives a prescription for metoclopramide. Which
adverse effect is most important for the nurse to report?
a. Diarrhea.
b. Involuntary movements.
c. Unusual irritability.
d. Nausea.
Involuntary movements.
The nurse admits a client with a diagnosis of stage 4 cancer. The client has a prescription to wear
a subcutaneous morphine sulfate patch for pain. The client is short of breath and difficult to
arouse. While performing a head to toe assessment. the nurse discovers four patches on the
client's body. Which action should the nurse take first?
a. Monitor blood pressure.
b. Administer a narcotic reversal drug.
c. Remove the morphine patches.
d. Apply oxygen face mask.
Remove the morphine patches.
, BSN HESI 315 Pharmacology Practice
Exam (New 2026/ 2027 Update)
Questions and Verified Answers |100%
Correct| Grade A- Nightingale
The nurse is providing instructions about a client's new medications. How should the nurse
explain the purpose of probenecid, a uricosuric drug?
a. Decreases pain and burning during urination.
b. Prevents the formation of kidney stones.
c. Increases the strength of the urine stream.
d. Promotes excretion of uric acid in the urine.
Promotes excretion of uric acid in the urine.
A client taking atorvastatin develops an increased serum creatine phosphokinase (CK) level. The
nurse should assess the client for the onset of which problem?
a. Excessive bruising.
b. Muscle tenderness.
c. Peripheral edema.
d. Nausea and vomiting.
Muscle tenderness.
A client receives a new prescription for levothyroxine. Which statement made by client indicates
to the nurse the education was effective?
a. Take medication on an empty stomach.
b. Avoid the use of iron supplements
, BSN HESI 315 Pharmacology Practice
Exam (New 2026/ 2027 Update)
Questions and Verified Answers |100%
Correct| Grade A- Nightingale
c. Administer levothyroxine at bedtime
Consume foods that are high in iodine.
Take medication on an empty stomach.
A client with Parkinson's disease who is taking carbidopa/levodopa reports the urine appears to
be darker in color. Which action should the nurse take?
a. Explain the color change is normal.
b. Measure the client's urinary output.
c. Obtain a specimen for a urine culture.
d. Encourage an increase in oral intake.
Explain the color change is normal.
A client receives a prescription for ciprofloxacin 400 mg intravenously (IV) every 12 hours to be
infused over an hour. The IV bag contains ciprofloxacin 400 mg in dextrose 5% in water (D;W)
200 mL. The nurse should program the infusion pump to deliver how many mL/hr? (Enter
numerical value only.)
200mL/hr
A female client who is a vegetarian has a new prescription for warfarin. The client states she eats
leafy green vegetables every day. How should the nurse respond?
a. Suggest that the client replace the leafy vegetables with a protein source such as nuts or beans.
